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Home My Public Portal About9856 LA ROSA DR_Electrical__ 76AB63-CESOB I0-62 APPLICATION FOR ELE TRICAIV PERMIT COUNTY OF LOS ANGELES - ' DEPARTMENT OF COUNTY ENGINEER BUILDING I7 /1Bs ,�. _ BUILDING AND SAFETY DIVISION ADDRE58 J (o f. �7 /{' JOHN A. LAMSIE, COUNTY ENGINEER `�(' ' WILLIAM A. JENSEN, SUP'T OF BUILDING. LOCALITY �jM t i( I - NEAREST FOR APPLICANT TO.FILL IN CROSS ST. RECEPT. TOTAL NO. EIGHT FEE OUTLETS FIRST 20 $ $20 OWNER LICRT y Illy Lf& MAIL ?RII^10 f Z '�]1 � Z I ADDRESS /7 03 ar SWITCH. 111 ov ER 20 .10 GHTING LTOTAL FIRST 20 0• Ll� CITY cc TEL.NO. II FIXTURES A0L .20 710 ELECTRICIAN Ste° la+8« t OVER 20 &ADD (� �J {•}.� ^1�J/''' RANGES CLO.DRYERS WTR.HTRS. 1.00 TJ - / rce,, V/ ``L GARB.DISP. STA.COOK lJ�V-- o/10 / TEL.NO. 7( Y '1 OISHWASH. AUTO.-WASH. SPACE HTRS. STA.APP_(t/2 H.P.MAX.) .50 /uel/QMOTORS: OVER HOT OVER H.P. GROUP ZONE PQCESSED BYO 11.00I 3 1.50PECTION RECORD 3 8 2.00 8 I5 2.50 VVVY ad 15 50 3.00 O 50 Too 5.00 LLVr! d SIGNS: NO.TRANS. NO. LIMPS SERVICE O.6OOV-NOT OVER 200A, 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING.FEE 1.00 -TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVAL$ DATE INSPECTOR'S SIGNATURE. ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT i A WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERT'FY.THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY IX ND STATE OF FTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNS THE ABOVE ' DESCRIBED RESIDENTL PRO POWER OF SIGNATUR fE 1 UTILITY CO.NOTIFIED FINAL 'P13l OLIDATION ART UR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER VyI� 4-4 7 4 o OCT 2 2 D 4.20 " 7BAS63-CEe00-tt-VZAPPLICATION FOR CTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER .BUILDING BUILDING AND SAFETY DIVISION ADOREss CROWN. LAM BE, County Engineer CROW D. GRUTIN.Supt of bending LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERbIIT FEES �/ n ITEM NUMBER EACH FEE OWNER �✓ ([J' OUTLETS: $ $ MAIL - LIGHTS' RECEPT. SW. .10 O . ADDRESS LIGHTING FIXTURES - .10 CITY G I TEL.NO. ELEC.RANGES CLO. DRYERS = ELECTRICIAN, _ WATER HEATERS , .50 P/r ELEC.SPACE HTRS. DISHWASHERS ADDRESS ,J JLiG.�/J GARBAGE DISPOSERS AUTO.- CITY TEL.NO. �Y WASHERS STA.COOKING UNITS ,25 STATE ' LICENSE NO. MOTORS OVER INc. H.F. O — Yz 25 DISTRICTN GR UP ZONE REA Ron IN.PICTION ./t— 2 .50 - Q / 2 — 5 1.00 INSPECTION RECORD 5 — 15 1.50 ' 15 — 50 2.50 - so— 200 5.00 SIGNS: NO:TRANS. NO.LAMPS - SERVICE O-600V 1.00 - - SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 QO FIXTURE PERMIT 1.00 ' SUPPLEMENTARY PERMIT .50 TOTAL FEE $ Y APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - _ `ELECTRICAL WIRING. WIRING >// 7J I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL OPERTY.�,' SIGNATURE ./Y/,- 1 �� UTILITY CO.NOTIFIED-ter ,. h OF PERMITTEE FINAL -S �jIIDATION ARTHUR C.VEIT. SUPERVISING ELECTRICAL ENGINEER„' JV'^ } MO GBH LAC;oo19TUL14. 2D 1 .60 76ABOS.CE805-5_S7 APPLICATION FOR ELECTRIC PERMIT �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER aulLowG �tl BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUP'T'OF BUILDING LOCALITY �/ 11 FOR APPLICANT TO FILL IN CROSS ST./�/yl PFJMT FEES OWNER L LIGHTS RECEPTACLES SWITCHES MAIL _ NUMBER ITEMI EACH FEE ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CITY TEL.NO. CLOTHES DRYERS .50 ELEC. SPACE ERS ST ELECTRICIAN /' ,^c-.�L�! ./J�� r�.L� ' / 'No UNITS; RSAGE DISPOSERS, Iy ADDRESS EJ�W/JT y'yll//JT_ AUTO WASHERS, DISH. .25 LIGHTING FIXTURES .10 CITY TEL.NO, STATE MOTORS LICENSE NO. / L� HORSEPOWER DISTRICT NO. GROUP O E READY FOR INSPECTION H.P: OVEINC.R / yi&LE59 .25 .50 INSPECTION RECORD . 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5,00 MISC. SIGNS NO.TRANS NO.LAMPS SERVICE 0600 1.00 SERVICE OVER SOOV 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT ,SD - APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A P ATION - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA (PROPERTY. SIGNATURE / UTILITY CO.NOTIFIED OF PERMITTE `- FINAL JOHN A.LAMBIE. A ARTHUR N COUNTY ENGINEER NO SH SUPERVISING ELECTRICAL ENGINEER �� 5336 DEC 24 2 2.65 WORKERS COMPENSATION e of consent to /EAssa 10/91 APPLICATIONFORELECTRICAL PERMIT ' CE-806G - ..I hereby,affem Prat I !lave a certificate of consent fo self insure ,. • or-a certificate of Wokers%'Compensation Insurance, or,a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy t1iereoL,(Sec.3800.Lab. C.) - - P❑ollcy No 1 'Company - ' FOR APPLICANT TO FILL IN '" _: JOB �`T ' _.Certified copy Is hereb;furnished 'New Residential Bldgs & Pools 'EACH NO. .- FEE1 .1 AOORE85 (� '❑ py is filed with the county;building inspection ? & 2-Faml LOCALITY 'Certrffied co y, Sq Ft S — $ department. . - • :r • Multi-family Sq,FL NEAREST; • 4. `- • Residential Swimming Pools - CROSS ST Date OWNER OR YL, f. Applicant' - - FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS 'Outlets.Rec Light/L-Sw. — AOORESS COMPENSATION INSURANCE •- :(This section need-not be completed it the WarkAmtolved'by the ��y First 20permit.is for one hundred dollars($100) or less) Total No. „Additional' - CITY' i - . ._ lTe.No.' I Certify.that in the.performance'of the.work for which this,permit PLAN CHECK- ' -. APPLICANT is issued, I shall not employ any+person in any manner,sci:as to , `become subject to the Workers'Compensati n Laws .Lighting Fixtures First 20 -ADDRESS - )/�/ VL ,_-_f__� Additional r -Total No - CITY Tel'No. Date 'Applicant 'Fixed Appliances Not Over 1'HP • PERMIT NO CE TO APPLICANT If:,aftec, making Mis ,Certificate of Exe ptiori should become subject to the Workers Compensation Range_ Heater_ D.W. - APPLICANT provisions blithe Labor Code, you must forthwith,comply,with such -.Oven— Dryer — W.NL_ ADDRESS provisions or this permit.shall be deemed.revoked Top FAU. .� W.H.._ . . LICENSED CONTRACTORS DECLARATION Hootl —.Fan Other_ C � '� I•herebyaffirm that I am.licensed under provisions.of Chapter'9 O JI OR (commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER - Class Professions Code,and my license is in full force Power Apparatus 8 Large and effect. Appliancces DISTRICT JJO., PRo EB B _ Size& Type HP KW.KVA,or KVAR x Q License Numbe Lic.Class - Up to 1 Incl. . . FINAL _ - .✓J r _ G Over-1 to 10 Incl. DATE �• /�_� l VALIDATION:. Q �Con � Date Over 10 to SO Incl. L./ U FINAL ❑:` I am exempt under Sec., t, Over 50,to 100 Inc.1• _ BY B.&P.C.for this reason - � - -Over 100 n' N • Seances,Swbd.,MCC-& Panelboards --' - _ - Date: - - ► - Z - - 0,- 200 Amp.Under 600 V Signature -201'- 1000 Amp-Under 600b . . ... .. , '. -. �`❑ Exemption - Over 1000 Amp:or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&.Appurtenances:„ -. _ ° 2. HOME OWNER-BUILDER DECLARATION ' - Sign with One BrancMCircuit - L I hereby affirm that I am exempt from the Contractor's License Law v _ ,, ACCT.T for the following.reason (Section 7031.6,'Business and Professions Additional Sign Branch Circuits - Code): - . ._ - . ,. '.3307 48.613' El 1 I,as owner of the properly,will do-the--work and the structure Misc.Conduits'& Conductors - ITEflS ' is not intended or offered for sale (Section 70447 Business Other(See Complete Fee'Schedule) ►. - '. - TOTAL- 48 60 . and'Professions Code) '• - - - py�� CONSTRUCTION LENDING AGENCY - "' `'- - C'rf�': vnhtilC- - 413.60 I hereby affirm that there is a construction lending agency for.the t .�p)D- performance of the work for.whicin this permit is issued(Sec.3097,_- PERMIT'FEE' - - (Sub-Total). Civ..C.). PLAN CHECKING FEE - ^E - 0 Lender's Name - � 6r1''QD�Ii •4�2$/9U PERMIT ISSUING FEE_ 0312 1.r AM 9:02,Lender's Address ,- - I certify that,I"have read this application and state that the above -TOTAL FEE information is correct..I agree to comply with all County ordinances, .. _ and State laws regulating Electrical wiring, and hereby authorize representatives,of this County to enter.upon-the above-mentioned prop' for inspection purposes. ,. - - `- SEE REVERSE FOR:EXPLANATORY.LANGUAGE. -Siifnlature of Perl ,Date - ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0411240020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: TR: 9481 LT: 80 BL: .001 9856 LA ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: - TEMP. CA 917803920 ASSESSOR INFORMATION NUMBER: .. NEAREST CROSS STREET: AGNES 8589-022-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 1.00 BR 17.25 EN GI OUTLETS-LGT,SW;RECP - 21.00 OUT 40.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 6.00 LGT - 11.70 11/24/04 JK 05/23/05 H7 RES EXHAUST FANS 1.00 EX 10.95 OWNER: TEL. NO: TOTAL FEES 108.00 F�INA�L Dr9TE .FINAL BY: CODE: PRADO ROBERT D;LAURA M - ✓ '� 1- 9856 LA ROSA DR _ TEMP 917803920 - DESCRIPTION OF'WORK ELECTRICAL FOR THE ADDITION. APPLICANT: TEL. N : _ O'LEARY (626) 287-0927- - 5823 AGNES AVE SPECIAL CONDITIONS: - TEMPLE CITY CA 91780 CONTRACTOR: TEL. N APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (626) 287-0927- 5823 AGNES AVENUE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 489354 8-1 UNDERGROUND CONDUIT ARCHITECT OR ENG TEL. N UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508